Raising The Standards Of Care Llc | |
361 Southwest Dr Ste 771 Jonesboro AR 72401-5854 | |
(870) 559-5006 | |
Not Available |
Full Name | Raising The Standards Of Care Llc |
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Speciality | Clinic/Center |
Location | 361 Southwest Dr Ste 771, Jonesboro, Arkansas |
Authorized Official Name and Position | Lakisha Antionette Mcdaniel (NURSE PRACTITIONER) |
Authorized Official Contact | 8705141510 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Raising The Standards Of Care Llc 157 Boston Cv Marion AR 72364-8008 Ph: (870) 559-5006 | Raising The Standards Of Care Llc 361 Southwest Dr Ste 771 Jonesboro AR 72401-5854 Ph: (870) 559-5006 |
NPI Number | 1003450230 |
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Provider Enumeration Date | 10/31/2019 |
Last Update Date | 03/20/2020 |
Medicare PECOS PAC ID | 1355770348 |
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Medicare Enrollment ID | O20200325003812 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003450230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Lakisha A Mcdaniel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326392671 PECOS PAC ID: 1153573514 Enrollment ID: I20151104000297 |
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